The study examined the impact of immunotherapy on overall survival (OS) in rectal cancer patients using a propensity score matched analysis of the National Cancer Database. Out of the total patients analyzed, only 2.5% underwent immunotherapy. The results showed that patients treated with immunotherapy had shorter OS compared to controls. However, when stratified by clinical […]
Category: General Surgery
Feasibility and Challenges of Pancreaticoduodenectomies with Concurrent Colectomies
Pancreaticoduodenectomies with concurrent colectomies for pancreatic and colon cancer are feasible, but their morbidity and oncological benefits are controversial. This review examines the outcomes of this combined procedure and finds that it is a viable option for select patients with anticipated negative resection margins. However, caution must be exercised due to increased complication rates, including […]
Surgeon specialization not associated with improved outcomes in acute perianal abscess management
Surgeon specialization did not impact outcomes for acute perianal abscess patients in an acute surgical unit, despite colorectal surgeons identifying fistulas more frequently. Abscess recurrence rates were similar between colorectal and non-colorectal surgeons, suggesting drainage alone might suffice as treatment. Journal Article by Turner GA, Tham N (…) Hayes IP et 4 al. in ANZ […]
Acupressure effectively reduces nausea after laparoscopic cholecystectomy
Acupressure has shown potential in managing nausea and vomiting after laparoscopic cholecystectomy (LC). A meta-analysis of six randomized controlled trials revealed that acupressure significantly reduced the incidence of nausea at 2 and 6 hours after LC, as well as the need for rescue antiemetics. However, it did not have a significant impact on vomiting or […]
Positive Experience Found in Surgeons’ Perceptions of Online Surgical-Focused Learning During the COVID Pandemic
During the COVID pandemic, many surgeons and surgical trainees had a positive experience with online surgical-focused learning, according to a scoping review. The review included 44 studies, with the majority focused on the perception of newly developed e-learning platforms and surgeons’ attitudes towards remote learning. The United States was the most represented country, and general […]
Conservative management as effective as surgery in uncomplicated symptomatic gallstone disease: C-GALL trial
The C-GALL trial compared conservative management with laparoscopic cholecystectomy in adults with uncomplicated symptomatic gallstone disease. After 18 months, there was no significant difference in quality of life between the two groups. Furthermore, conservative management was found to be less costly and there was no significant difference in quality-adjusted life years. The study suggests that […]
Neoadjuvant Docetaxel-Based Chemotherapy Followed by En Bloc Resection: Effective Treatment for Locally Advanced Esophageal Adenocarcinoma with Comparable Survival Outcomes
Neoadjuvant docetaxel-based chemotherapy followed by en bloc resection is an effective treatment for locally advanced esophageal adenocarcinoma. Results from a 15-year retrospective analysis showed that both docetaxel/cisplatin/5FU and 5FU/leucovorin/oxaliplatin/docetaxel regimens achieved similar survival outcomes. A high percentage of patients completed the neoadjuvant cycles, and the majority achieved an R0 resection. Although the median lymph node […]
Unhoused Patients Experience Numerous Challenges in Surgical Care
Unhoused patients face significant barriers in receiving surgical care, leading to poorer outcomes compared to the general population. This qualitative analysis of 26 interviews with clinicians revealed five key themes: challenges in meeting preoperative requirements, housing status influencing minor care decisions, negative postoperative experiences for unhoused patients, imperfect discharge options leading to inadequate postoperative care, […]
Robotic Approach for Ventral Hernia Repair Lowers Wound Morbidity in High-Risk Patients
A propensity score analysis was conducted using the abdominal core health quality collaborative (ACHQC) database to evaluate the impact of robotic approach on wound morbidity in high-risk patients undergoing retromuscular ventral hernia repair. After matching patients for each approach, it was found that the robotic approach resulted in decreased rates of surgical site infections (SSIs) […]
Risk-stratified Pathways Improve Post-Hepatectomy Outcomes
Risk-stratified post-hepatectomy pathways (rsphps) were analyzed in a study of 1,354 patients. The pathways effectively stratified hepatectomy patients based on their risk of early postoperative events. The results showed that post-pathway implementation led to shorter hospital stays and decreased the need for readmission and interventional radiology procedures. rsphps can reliably predict the most frequent time […]